Growth factors in benign prostatic hyperplasia: Basic science implications

被引:20
作者
Lucia M.S. [1 ]
Lambert J.R. [1 ]
机构
[1] Department of Pathology, University of Colorado DHSC, Mail Stop 8104, Aurora, CO 80045
关键词
Vascular Endothelial Growth Factor; Benign Prostatic Hyperplasia; Keratinocyte Growth Factor; Prostatic Epithelial Cell; Prostatic Stromal Cell;
D O I
10.1007/s11934-008-0048-6
中图分类号
学科分类号
摘要
Benign prostatic hyperplasia (BPH) is the most common proliferative disease of the prostate of men in the United States. The histopathology of BPH strongly implicates local paracrine and autocrine growth factors and inflammatory cytokines in its pathogenesis. A complex milieu of growth-regulatory proteins includes members of the fibroblast, insulin-like, and transforming growth factor families. It appears that these proteins and downstream effector molecules, in addition to a variety of interleukins, are overexpressed in BPH and, working together, create a landscape of increased stromal and epithelial growth and mesenchymal transdifferentiation that leads to disease progression. Inflammation, commonly present in BPH, may contribute to tissue injury, and cytokines produced by inflammatory cells may serve to drive local growth factor production and angiogenesis in the tissues as a "wound healing" response. As we begin to unravel the precise mechanisms involved, new treatments for BPH aimed at these interacting pathways may emerge. Copyright © 2008 by Current Medicine Group LLC.
引用
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页码:272 / 278
页数:6
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